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20

Years of experience

95

Patient satisfaction rating

5,000

Patients served annually

5

Healthcare providers on staff
OUR SERVICES

The How Clinic Featured Services

Pain and Injury Relief

At The How Clinic Encintas, a leading pain management clinic, we specialize in advanced regenerative medicine injections for joint pain relief.

Hormone Optimization

At The How Clinic Encinitas you can achieve hormonal balance to support your overall health and well-being.

Functional Medicine Services

A licensed Naturopathic physician has attended a four-year naturopathic medical school, is clinically trained, and works in all aspects of family health, from pediatric to geriatric care.

IV Hydration

At The How Clinic Encinitas, we are pleased to offer a wide range of IV therapies to our patients from simple hydration to more customized therapies including unique combinations of vitamins and minerals.

Sexual Wellness Services

Your providers at The How Clinic Encinitas are dedicated to providing advanced shockwave therapy for musculoskeletal (MSK) conditions and pain relief and erectile dysfunction (ED).

Aesthetics Services

The How Clinic, we understand that feeling confident and radiant in your own skin is a key component of overall wellness.

MORE SERVICES
ABOUT US

Welcome to The How Clinic Encinitas

We are committed to providing compassionate care for a wide range of physical and mental conditions. Our customized plans prioritize preventive measures and functional medicine to identify and treat the root cause of illness

Commitment

As part of our commitment to comprehensive care, we also offer regenerative medicine services. This cutting-edge approach focuses on using the body’s natural healing processes to repair damaged tissues and restore function.

Empathy

Our practitioners take the time to listen to your concerns and develop personalized treatment plans that address your unique needs. We believe in empowering you to take an active role in your healthcare by providing comprehensive consultations and regular follow-ups to support your journey to optimal health.

Path to better health

Our patients become part of our wellness community and we strive to create a supportive environment where you feel confident in receiving the highest level of care. Thank you for choosing The How Clinic, and we look forward to partnering with you on your path to better health.

MEET OUR DOCTORS

John How, M.D.

Adam Silberman, N.D.

Amy Lopez, P.A.-C

John How, MD

Dr. John How is a board-certified emergency medicine physician with over a decade of experience in the emergency department. He has a special interest in treating musculoskeletal and mental health conditions in people who work or live in high-stress jobs and environments.

“ Dr. How received his medical degree at Loma Linda University School of Medicine in California and completed a residency in emergency medicine at Ascension St. John Hospital in Michigan “

Experience

John How, M.D. is an experienced healthcare professional with more than 15 years of experience working in emergency departments all over the country. After observing the limitations of conventional medicine and encountering patient frustration with the lack of personalized care, he decided to establish a clinic that prioritized health optimization and holistic medicine.

Mission

The clinic’s mission is to deliver personalized care that addresses the root causes of patients’ health issues, rather than just the symptoms. Dr. How believes that taking a holistic approach to health can enable patients to achieve optimal wellness and enhance their quality of life. With a team of experienced healthcare professionals and an unwavering dedication to excellence, our clinic is committed to helping patients attain their health objectives and live a vibrant, healthy life.

Expertise

Through extensive training with doctors in a range of specialties, Dr. How has developed expertise in precision ultrasound-guided interventions for conditions such as peripheral nerve entrapment and soft tissue injuries. In addition to running his own clinic, The How Clinic, Dr. How is also passionate about teaching and has joined the clinical faculty for the primary care sports medicine fellowship at UHC SoCal MEC, where he focuses on ultrasound guided diagnosis and treatment and regenerative medicine.

Adam Silberman, N.D.

If you are interested in living optimally, performing at your best, and maximizing your performance, I am the doctor for you. I have a passion for the ever-evolving field of anti-aging, longevity, and regenerative medicine and incorporate this research into all I do. I bring the same level of care I provide to Professional Athletes, CEOs, and Celebrities to every patient and family I have the honor of working with.

“ Dr. Silberman not only has a philosophy of integrative medicine but also a tried and tested manner in which to implement his approach that time and time again yields successful outcomes. “

Experience

Dr. Silberman’s work is inspired by the sudden loss of his father when he was 25 years old from improper management of his complex chronic disease. Since that point he has dedicated his life to empowering others to take charge of their health so that a tragedy like that will never happen again and has become a globally recognized force in the field of naturopathic, integrative, and functional medicine.

Mission

The foundation of his practice is based on a personalized approach to health care that recognizes the biological uniqueness of each patient. Naturopathic medicine is an evidence-based field of health care that views the body as an interconnected whole and recognizes the importance of these connections in health and disease. In contrast to a conventional care model, which is almost entirely drug based and focused on suppressing symptoms, Dr. Silberman works to eliminate symptoms by addressing the underlying causes of a problem.

Expertise

His practice focuses on anti-aging and regenerative medicine, encompassing the management of:

  • Acute and Chronic Disease
  • Complex Auto-Immune Conditions
  • Musculoskeletal Injury
  • Hormone Imbalance
  • Hormone management using Bio-Identical Hormone Replacement Therapy
  • Weight Loss Management
  • Pre-Post Operative Care
  • Supportive Cancer Care for Thrivers
  • Cognitive Decline Prevention

Amy Lopez, P.A.-C

I am passionate about health promotion and disease prevention. I believe in the quality of life over quantity of life and meditation over medication. After 2 decades of medical experience, I have become aware of the shortcomings of allopathic (“Western”) medicine, and that only through an integrative approach can I truly help my patients.

“ Amy comes to us with over 20 years of experience in emergency medicine, with 15 years as a PA and 5 years as an EMT, in addition to 5 years experience in family practice. “

Experience

Sexual health is mental health! Let’s talk about sex and how I can help you better enjoy your sexual experiences through all stages of life. I understand the hormonal, physiological, and anatomical changes that happen to our bodies as we age and I am eager to help you find ways to combat these issues with the most up-to-date approaches available. I strive to end suffering both mental and physical. I am no stranger to emotional pain. After losing my husband tragically to suicide in 2019, I was compelled to find a better way to alleviate the suffering of those dealing with depression, anxiety, and PTSD. I am here to talk about your grief in an open, non-judgmental setting utilizing a variety of approaches to allow you to live alongside your grief.

Mission

The foundation of his practice is based on a personalized approach to health care that recognizes the biological uniqueness of each patient. Naturopathic medicine is an evidence-based field of health care that views the body as an interconnected whole and recognizes the importance of these connections in health and disease. In contrast to a conventional care model, which is almost entirely drug based and focused on suppressing symptoms, Dr. Silberman works to eliminate symptoms by addressing the underlying causes of a problem.

Expertise

Amy comes to us with over 20 years of experience in emergency medicine, with 15 years as a PA and 5 years as an EMT, in addition to 5 years experience in family practice. She received her medical training at Western University of Health Sciences, graduating top of her class after completing her undergraduate studies in Human Development at UC Riverside, graduating Magnum Cum Laude. She specializes in hormone replacement therapy and is passionate about sexual wellness and women’s health.

Conditions Treated at The How Clinic

Joint Pain

Our team of experienced joint pain doctors offer a range of treatments to help alleviate joint pain. They include hydrodissection, regenerative joint injections, medical massage, and nutritional consultations.

Pinched Nerve

Experience effective pinched nerve treatment. Our team specializes in innovative therapies that target the root cause of your pinched nerves aiming to provide relief from symptoms like pain, numbness, and weakness.

Arthritis

We offer a range of treatments, including minimally invasive injections and lifestyle changes, to effectively address your condition. We aim to help alleviate arthritis pain and inflammation, stiffness, swelling, and limited mobility associated with arthritis.

Injury

We specialize in advanced treatments for sports injuries, accident injuries, or auto injuries. Our specialized approach includes nerve hydrodissection, platelet-rich plasma (PRP) therapy, and placental tissue matrix treatments.

Hormone Imbalance

Women experience symptoms caused by hormonal changes often starting well before menopause, or perimenopause. Men often require additional testosterone to balance their levels as their levels inevitably decline with age. Symptoms like lack of energy, decreased vitality, weight gain, decreased muscle growth, and low libido, among more, are resolved with a tailored treatment approach.

Sexual Dysfunction

Men can find help with various treatment methods for symptoms such as erectile dysfunction (ED). Women often seek help for pain with intercourse (dyspareunia), pelvic floor issues, impaired ability to become aroused, vaginal dryness, lichen sclerosus, lichen planus, and more.

Complex Autoimmune Conditions

Advanced testing by Dr. Silberman, your Naturopathic Dr, will begin your journey to wellness. We aim to provide relief from symptoms such as chronic inflammation, pain, and fatigue through a functioinal medicine approach.

Acute and Chronic Disease

Find the root cause of your conditions and aim to treat it with a mix of natural and cutting edge, innovative, custom tailored treatment options designed as a team with you and your Naturopath provider.

Fatigue

Get back your vitality with evaluation and management of chronic fatigue, insomnia, or general malaise. Your provider will work with you to take back your health and restore your energy.

MORE CONDITIONS TREATED

We will do our best to accommodate your busy schedule. Request an appointment today!

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What our patients are saying...

“

On my first visit to Dr. How I was impressed with the time he spent asking many questions about different issues I have going on. He was caring, patient and kind. He came up with a treatment plan that gave me hope for the pain I am going through. His staff are efficient, welcoming and fun. I high;y recommend his practice.

Kris R.
“

Dr How and his staff were accommodating and caring throughout the process, both before and during my SGB procedure. I definitely had some nerves arise leading up to the procedure and Dr How went out of his way to walk me through things which helped take the edge off. The procedure itself was much more smooth, relaxed and easy than I was expecting. Overall, the communication, care and professionalism I experienced from Dr How and his team was top notch. And I definitely noticed improvement after the procedure which is another step forward in my trauma recovery. Super thankful.

Trevor L.
“

When I walked through the door at the How Clinic, my world changed. I found my angel doctors and I couldn’t be happier with the help I’m getting from extremely amazing doctors and staff! I’m so happy I have found a clinic that will give you the time of day and more. They care here, they listen to you and answer all of your questions. They take the time to get to know you and want to help you heal your body. I’m so grateful for the How Clinic. Thank you guys and I’ll be sending everyone I know your way! You guys are all awesome!!

Kim P.
“

I just had my first visit with Dr. How and I’m looking forward to working with him to get my back feeling better again! I appreciate how he listened to my concerns, then reassured me that he can help me to achieve my goals. My wife has also been working with Dr. How and has already benefited from his treatments. We have recommended him to a few of our friends!

John T.
“

Nothing short of amazing. They have so much to offer and Doc How is super cool and incredibly knowledgeable in this field. I’ve been treated for this stuff for years by multiple different docs in multiple states and this is hands down one of the best facilities I’ve ever been to. Any issues you have, they have a solution and remedy for. Get you back to feeling like you. I’m a 17 year prior military and security contractor and my body has been through the ringer. Dr. How and his team have gotten me fixed up in more ways than one. From hormones to stress levels to Nad+ therapy all the way to nervous system treatment. Can’t recommend enough!

Aaron T.

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